Therapists in Sanford, NC

Photo of A Stable Connection Counseling Center , Counselor in Sanford, NC
A Stable Connection Counseling Center
Counselor, LCMHCA, MSEd, NCC
Verified Verified
Sanford, NC 27330
Are you satisfied with your life or feeling lost and wondering if there is more for you? Do you feel stuck, repeating the same thoughts or patterns? Do you worry about the little things or the big things? Are you able to tackle the bumps that life throws at you, or do you have trouble managing the roller-coaster of life? If your answer is yes (or even maybe), then counseling could be helpful to you.
Are you satisfied with your life or feeling lost and wondering if there is more for you? Do you feel stuck, repeating the same thoughts or patterns? Do you worry about the little things or the big things? Are you able to tackle the bumps that life throws at you, or do you have trouble managing the roller-coaster of life? If your answer is yes (or even maybe), then counseling could be helpful to you.
(919) 626-9787 View (919) 626-9787
Photo of Lloyd 'loyda' Osterhout, Pre-Licensed Professional in Sanford, NC
Lloyd 'loyda' Osterhout
Pre-Licensed Professional, LCMHC-A
Verified Verified
Sanford, NC 27332
Not accepting new clients
Life issues are very complex and starting therapy can be a great way to communicate and work through the challenges that you are facing. I would like to congratulate you for taking your first step in becoming a better “you”. I am here to guide you in your healing process and help you to re-frame your perspective and overcome life’s obstacles. I will provide a safe, secure, and non-judgmental environment toward a healthy solution to your challenges. My areas of focus are the following: individual counseling, stress, anxiety, depression, self-esteem, and self-care.
Life issues are very complex and starting therapy can be a great way to communicate and work through the challenges that you are facing. I would like to congratulate you for taking your first step in becoming a better “you”. I am here to guide you in your healing process and help you to re-frame your perspective and overcome life’s obstacles. I will provide a safe, secure, and non-judgmental environment toward a healthy solution to your challenges. My areas of focus are the following: individual counseling, stress, anxiety, depression, self-esteem, and self-care.
(540) 565-5342 View (540) 565-5342
Photo of Madison Tobin, Lic Clinical Mental Health Counselor Associate in Sanford, NC
Madison Tobin
Lic Clinical Mental Health Counselor Associate, MS, LCMHC-A, CRC
Verified Verified
1 Endorsed
Sanford, NC 27330  (Online Only)
Have you recently noticed a change in your life that left you feeling “stuck”, alone, scared, or even hopeless? I work with clients experiencing a variety of concerns, but most often with those experiencing Anxiety, Depression, Interpersonal Struggles, School/Life Changes, Post Traumatic Stress, medical crises, and substance use disorders to encourage them to openly and honestly work through hard topics, and leave the space feeling more confident and resilient. I specialize in working with adult clients, pre-teens and teens, individuals and families in the palliative care system, and Veterans.
Have you recently noticed a change in your life that left you feeling “stuck”, alone, scared, or even hopeless? I work with clients experiencing a variety of concerns, but most often with those experiencing Anxiety, Depression, Interpersonal Struggles, School/Life Changes, Post Traumatic Stress, medical crises, and substance use disorders to encourage them to openly and honestly work through hard topics, and leave the space feeling more confident and resilient. I specialize in working with adult clients, pre-teens and teens, individuals and families in the palliative care system, and Veterans.
(984) 400-5257 View (984) 400-5257
Photo of Ultimate Life Counseling, Wellness & Consulting, Lic Clinical Mental Health Counselor Associate in Sanford, NC
Ultimate Life Counseling, Wellness & Consulting
Lic Clinical Mental Health Counselor Associate, MAEd, LCAS, LCMHCA
Verified Verified
Sanford, NC 27332
Do you feel unheard, isolated, misunderstood and your life is on "pause"? Or perhaps you may feel as though you are sitting at an intersection in your life wondering which way is the best direction for you to take in order to obtain your self-identified goal(s). Understanding that the journey to obtaining life goals most often encompasses recognizing and working through the pauses, risks, and stuckness of life in order to achieve personal growth and overall wellness.
Do you feel unheard, isolated, misunderstood and your life is on "pause"? Or perhaps you may feel as though you are sitting at an intersection in your life wondering which way is the best direction for you to take in order to obtain your self-identified goal(s). Understanding that the journey to obtaining life goals most often encompasses recognizing and working through the pauses, risks, and stuckness of life in order to achieve personal growth and overall wellness.
(984) 368-5801 View (984) 368-5801
Photo of Nicole L. Davis, Licensed Clinical Mental Health Counselor in Sanford, NC
Nicole L. Davis
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, CSI
Verified Verified
Sanford, NC 27330
I am a Licensed Clinical Mental Health Counselor and a Licensed Clinical Addictions Specialist. I provide individual, couples, and family therapy to people experiencing a variety of mental health, substance use, or relationship concerns. I utilize a combination of cognitive behavioral therapy, motivational interviewing, and other modalities to assist clients in addressing concerns including, but not limited to, addiction, depression, anxiety, personality issues, domestic violence, and trauma. I am also certified as a Clinical Supervisor Intern through the NCASPPB. I provide ongoing supervision to other addictions professionals.
I am a Licensed Clinical Mental Health Counselor and a Licensed Clinical Addictions Specialist. I provide individual, couples, and family therapy to people experiencing a variety of mental health, substance use, or relationship concerns. I utilize a combination of cognitive behavioral therapy, motivational interviewing, and other modalities to assist clients in addressing concerns including, but not limited to, addiction, depression, anxiety, personality issues, domestic violence, and trauma. I am also certified as a Clinical Supervisor Intern through the NCASPPB. I provide ongoing supervision to other addictions professionals.
(919) 626-3910 View (919) 626-3910
Photo of Mariquena Davenport, Clinical Social Work/Therapist in Sanford, NC
Mariquena Davenport
Clinical Social Work/Therapist, LCSWA
Verified Verified
Sanford, NC 27330
Waitlist for new clients
Finding yourself through a hardship? Maybe lost, confused, or not exactly where you want to be? Tried different ways to get to where you want to be, and still find yourself wandering? Perhaps not many understand what you have lived through or what you are current living through. I want to take a chance to better understand you and go through this journey of discovery with you. Our relationship and collaboration is the first step to help yourself get where you dream of being. Allow me to walk along your side, to help identify your inner strengths to battle any challenge that you may be facing.
Finding yourself through a hardship? Maybe lost, confused, or not exactly where you want to be? Tried different ways to get to where you want to be, and still find yourself wandering? Perhaps not many understand what you have lived through or what you are current living through. I want to take a chance to better understand you and go through this journey of discovery with you. Our relationship and collaboration is the first step to help yourself get where you dream of being. Allow me to walk along your side, to help identify your inner strengths to battle any challenge that you may be facing.
(984) 733-1250 View (984) 733-1250
Photo of Leah Showalter, Clinical Social Work/Therapist in Sanford, NC
Leah Showalter
Clinical Social Work/Therapist, MSW, LCSW-A
Verified Verified
1 Endorsed
Sanford, NC 27330
Hello, my name is Leah Showalter and I am a Licensed Clinical Social Worker Associate. Seeking help for yourself or for your teen? If you are an individual struggling with anxiety, depression, self-esteem, women's issues, life transitions, stress, and more, I would love to partner with you on your journey to healing. My treatment approaches include Cognitive Behavioral Therapy, Solution Focused Therapy, Motivational Interviewing, and Person-Centered Therapy. I also enjoy using Holistic approaches such as Mindfulness-based techniques.
Hello, my name is Leah Showalter and I am a Licensed Clinical Social Worker Associate. Seeking help for yourself or for your teen? If you are an individual struggling with anxiety, depression, self-esteem, women's issues, life transitions, stress, and more, I would love to partner with you on your journey to healing. My treatment approaches include Cognitive Behavioral Therapy, Solution Focused Therapy, Motivational Interviewing, and Person-Centered Therapy. I also enjoy using Holistic approaches such as Mindfulness-based techniques.
(919) 746-7689 View (919) 746-7689
Photo of Rose Thomas, Licensed Professional Counselor in Sanford, NC
Rose Thomas
Licensed Professional Counselor, MA, LPC, LCAS
Verified Verified
Sanford, NC 27330
I have immediate openings and I welcome the opportunity to assist you in resolving your life's challenges and concerns. I am happy to provide counseling services to children, adolescents, adults, families and couples. I specialize in working with people struggling through any type of difficulties where it be childhood trauma, PTSD, depression, anxiety, panic, unanticipated life events, family and marital problems and substance use.
I have immediate openings and I welcome the opportunity to assist you in resolving your life's challenges and concerns. I am happy to provide counseling services to children, adolescents, adults, families and couples. I specialize in working with people struggling through any type of difficulties where it be childhood trauma, PTSD, depression, anxiety, panic, unanticipated life events, family and marital problems and substance use.
(910) 716-8006 View (910) 716-8006
Photo of Cindy W Hickman, Licensed Clinical Mental Health Counselor in Sanford, NC
Cindy W Hickman
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
Sanford, NC 27330
Are you feeling stressed, overwhelmed with life, exhausted, anxious, or depressed? Have you experienced a stressful or traumatic life event? Perhaps you struggle with a chronic illness. Maybe you struggle with a difficult child or teen. Or maybe your partner has been unfaithful. Are you tired of feeling isolated and hopeless? You want- no, you need- things to change, but you don’t where to begin. Asking for help can be one of the most difficulty things to do, but I would be honored to help you discover your inner strength and begin your journey to healing and being who you are meant to be.
Are you feeling stressed, overwhelmed with life, exhausted, anxious, or depressed? Have you experienced a stressful or traumatic life event? Perhaps you struggle with a chronic illness. Maybe you struggle with a difficult child or teen. Or maybe your partner has been unfaithful. Are you tired of feeling isolated and hopeless? You want- no, you need- things to change, but you don’t where to begin. Asking for help can be one of the most difficulty things to do, but I would be honored to help you discover your inner strength and begin your journey to healing and being who you are meant to be.
(984) 234-5683 View (984) 234-5683
Photo of Carolina Counseling Services, Clinical Social Work/Therapist in Sanford, NC
Carolina Counseling Services
Clinical Social Work/Therapist, LCSW
Verified Verified
Sanford, NC 27330
Engaging in counseling with a trusted Licensed Professionals can not only improve your emotional health, but your physical health as well! Finding resolution can result in an overall healthier you!
Engaging in counseling with a trusted Licensed Professionals can not only improve your emotional health, but your physical health as well! Finding resolution can result in an overall healthier you!
(919) 897-5111 View (919) 897-5111
Photo of La'Tanya L Ramos, Marriage & Family Therapist in Sanford, NC
La'Tanya L Ramos
Marriage & Family Therapist, MA, LMFT, CCTP-II, CFTP
Verified Verified
2 Endorsed
Sanford, NC 27330
Waitlist for new clients
Here’s the thing, you do not have to solve it, heal from it, get over it, get past it, or figure it out alone. Therapy offers you the space and support to approach and intentionally navigate your trauma, grief, past or present experiences, ways you have related to yourself, your relationships, and/or your environments that are just not serving you anymore. Your life should not be limited to living in familiar discomfort. You deserve genuine happiness and abundance in every area that you exist in. I can help you. It is time to start being intentional about your healing process, don't you think?
Here’s the thing, you do not have to solve it, heal from it, get over it, get past it, or figure it out alone. Therapy offers you the space and support to approach and intentionally navigate your trauma, grief, past or present experiences, ways you have related to yourself, your relationships, and/or your environments that are just not serving you anymore. Your life should not be limited to living in familiar discomfort. You deserve genuine happiness and abundance in every area that you exist in. I can help you. It is time to start being intentional about your healing process, don't you think?
(984) 299-9890 View (984) 299-9890
Photo of Jessica Green, Clinical Social Work/Therapist in Sanford, NC
Jessica Green
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Sanford, NC 27332
Shine Your Light Counseling offers support and encouragement for those going through difficult and stressful times. At any given moment, life can feel as if it is spiraling out of control. My role is to help with these situations that may be causing you stress, anxiety, uncertainty, or doubt. I believe we all have the capacity to grow and make changes needed to better our physical and mental health.
Shine Your Light Counseling offers support and encouragement for those going through difficult and stressful times. At any given moment, life can feel as if it is spiraling out of control. My role is to help with these situations that may be causing you stress, anxiety, uncertainty, or doubt. I believe we all have the capacity to grow and make changes needed to better our physical and mental health.
(984) 314-3883 View (984) 314-3883
Photo of Maribel Hurtado, Clinical Social Work/Therapist in Sanford, NC
Maribel Hurtado
Clinical Social Work/Therapist, MSW, LCSW-A
Verified Verified
Sanford, NC 27332
Waitlist for new clients
Finding yourself and navigating through rough currents in life can be hard and lead to desperation. If you’re struggling with anxiety, depression, trauma, and adjustments, I can work with you to help you become empowered and conquer any difficulties. I strive to work with individuals with a holistic and person-centered approach to help them gain insights and coping skills to change their lives. Additionally, I am trained to complete psychological evaluations for immigration cases such as U-Visa, VAWA, Asylum, and Hardship.
Finding yourself and navigating through rough currents in life can be hard and lead to desperation. If you’re struggling with anxiety, depression, trauma, and adjustments, I can work with you to help you become empowered and conquer any difficulties. I strive to work with individuals with a holistic and person-centered approach to help them gain insights and coping skills to change their lives. Additionally, I am trained to complete psychological evaluations for immigration cases such as U-Visa, VAWA, Asylum, and Hardship.
(919) 504-5934 View (919) 504-5934
Photo of Laura Wooten, Clinical Social Work/Therapist in Sanford, NC
Laura Wooten
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Sanford, NC 27330
Currently accepting clients for virtual morning sessions. Welcome! Therapy is a collaborative process where together we identify areas for personal growth and develop skills that can support you in finding balance and reaching your goals. Whether you are experiencing anxiety or depression, having difficulty sleeping, navigating relationship concerns, managing anger or other intense emotions, needing support with life transitions such as college or graduate school or new parenthood, or working through traumatic events, I would love to partner with you on this journey.
Currently accepting clients for virtual morning sessions. Welcome! Therapy is a collaborative process where together we identify areas for personal growth and develop skills that can support you in finding balance and reaching your goals. Whether you are experiencing anxiety or depression, having difficulty sleeping, navigating relationship concerns, managing anger or other intense emotions, needing support with life transitions such as college or graduate school or new parenthood, or working through traumatic events, I would love to partner with you on this journey.
(919) 642-1262 View (919) 642-1262
Photo of Laureen Belle Thomas, Clinical Social Work/Therapist in Sanford, NC
Laureen Belle Thomas
Clinical Social Work/Therapist, LCSW
Verified Verified
Sanford, NC 27330
Welcome. Are you experiencing difficulties with relationships, children, spirituality, sex, or work? It often happens that many of us need a little help now and then. In my years of practice, I've seen how depression and anxiety can affect people's lives and can cause a great deal of guilt and frustration. Life is a journey, both joyous and painful. I believe that no one purposely tries to mess up their life, however, once caught up in our own situations we often cannot see the "forest for the trees", making it difficult to see things any differently during stressfull times.
Welcome. Are you experiencing difficulties with relationships, children, spirituality, sex, or work? It often happens that many of us need a little help now and then. In my years of practice, I've seen how depression and anxiety can affect people's lives and can cause a great deal of guilt and frustration. Life is a journey, both joyous and painful. I believe that no one purposely tries to mess up their life, however, once caught up in our own situations we often cannot see the "forest for the trees", making it difficult to see things any differently during stressfull times.
(919) 794-8245 View (919) 794-8245
Photo of Reagan Courliss, Licensed Professional Counselor in Sanford, NC
Reagan Courliss
Licensed Professional Counselor, MEd, NCC, LCMHC
Verified Verified
Sanford, NC 27330
Not accepting new clients
Hey, I’m Reagan. I work with teens and adults trying to figure out what’s happened, who they are in this moment, and where they want to go from here. I offer a safe space to work through things your own way, and support that meets you where you are and evolves on your terms. With a warm, straightforward, and affirming approach, I can help you work toward goals that are focused on you (no agendas here!) and get to a place where 'being' just feels better. If you are looking for someone who is real and something a little different from your last therapy experience, let's talk!
Hey, I’m Reagan. I work with teens and adults trying to figure out what’s happened, who they are in this moment, and where they want to go from here. I offer a safe space to work through things your own way, and support that meets you where you are and evolves on your terms. With a warm, straightforward, and affirming approach, I can help you work toward goals that are focused on you (no agendas here!) and get to a place where 'being' just feels better. If you are looking for someone who is real and something a little different from your last therapy experience, let's talk!
(919) 213-1746 View (919) 213-1746
Photo of Hannah Thomas, Clinical Social Work/Therapist in Sanford, NC
Hannah Thomas
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
1 Endorsed
Sanford, NC 27330
My goal is to help individuals struggling with trauma, post-traumatic stress, depression, anxiety, adjustment, burnout, and life transitions. I am also beginning to work with couples. I care about forming a collaborative and trusting therapeutic relationship, building upon strengths and successes, and honoring my clients' stories. Therapy is going to look a little bit different for everyone, and I am so excited to start this journey with you.
My goal is to help individuals struggling with trauma, post-traumatic stress, depression, anxiety, adjustment, burnout, and life transitions. I am also beginning to work with couples. I care about forming a collaborative and trusting therapeutic relationship, building upon strengths and successes, and honoring my clients' stories. Therapy is going to look a little bit different for everyone, and I am so excited to start this journey with you.
(919) 292-2614 View (919) 292-2614
Photo of Jennifer Wright, Counselor in Sanford, NC
Jennifer Wright
Counselor, MRC, CRC, LPCA
Verified Verified
Sanford, NC 27332
If today is the day that you want to regain control of your life, then contact me so we, as a partnership, can begin. I use methods of empowerment and self awareness to assist you achieve your goals, whether it is better relationships, career changes, or just understanding yourself on a different level. Call me today so that we can begin your new journey!
If today is the day that you want to regain control of your life, then contact me so we, as a partnership, can begin. I use methods of empowerment and self awareness to assist you achieve your goals, whether it is better relationships, career changes, or just understanding yourself on a different level. Call me today so that we can begin your new journey!
(919) 736-6932 View (919) 736-6932
Photo of Desiree Walls, Counselor in Sanford, NC
Desiree Walls
Counselor, MS, LCMHC-A, NCC
Verified Verified
Sanford, NC 27332
Hey there, Momma! Are you feeling overwhelmed, sad, lost, or even angry? As much as you love your little one, are there still times you just can’t be all they need, and it makes you feel like the worst momma out there? I’m here to walk this path through the darkness with you into the happy and capable woman you want to be.
Hey there, Momma! Are you feeling overwhelmed, sad, lost, or even angry? As much as you love your little one, are there still times you just can’t be all they need, and it makes you feel like the worst momma out there? I’m here to walk this path through the darkness with you into the happy and capable woman you want to be.
(919) 249-7741 View (919) 249-7741
Photo of Beverly Wicker, Clinical Social Work/Therapist in Sanford, NC
Beverly Wicker
Clinical Social Work/Therapist, LCSW, LCAS, CCS, SAP, BC-TMH
Verified Verified
1 Endorsed
Sanford, NC 27330
Formerly the CEO of Family ConneXions, PLLC, I come with over 20 years of experience working with individuals and families of all ages. I am licensed in clinical social work (LCSW) as well as substance abuse services (LCAS). I am also a Certified Clinical Supervisor (CCS). I have a Bachelors Degree in Spanish Language and Literature and speak Spanish fluently. My primary goal is to provide a service that emphasizes trust, respect, confidentiality and compassion. I use a strength-based approach that focuses on supporting individuals, families, and couples through emotional and behavioral challenges.
Formerly the CEO of Family ConneXions, PLLC, I come with over 20 years of experience working with individuals and families of all ages. I am licensed in clinical social work (LCSW) as well as substance abuse services (LCAS). I am also a Certified Clinical Supervisor (CCS). I have a Bachelors Degree in Spanish Language and Literature and speak Spanish fluently. My primary goal is to provide a service that emphasizes trust, respect, confidentiality and compassion. I use a strength-based approach that focuses on supporting individuals, families, and couples through emotional and behavioral challenges.
(919) 925-2693 View (919) 925-2693

How does your Therapist compare?

Number of Therapists in Sanford, NC

60+

Average cost per session

$125

Therapists in Sanford, NC who prioritize treating:

100% Anxiety
95% Depression
79% Relationship Issues
79% Trauma and PTSD
77% Self Esteem
69% Coping Skills
68% Family Conflict

Average years in practice

10 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
69% Aetna
58% Cigna and Evernorth

How Therapists in Sanford, NC see their clients

86% In Person and Online
14% Online Only

Gender breakdown

92% Female
8% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Sanford?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.